KENJI YAMAZAKI
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Visiting Professor
Article types Other
Language English
Peer review Peer reviewed
Title Left atrial dissection.
Journal Formal name:General thoracic and cardiovascular surgery
Abbreviation:Gen Thorac Cardiovasc Surg
ISSN code:(1863-6713)1863-6705(Linking)
Volume, Issue, Page 63(8),pp.434-445
Author and coauthor TSUKUI HIROYUKI†, IWASA Shizuko, KENJI YAMAZAKI
Publication date 2015/08
Summary Left atrial (LA) dissection is a rare complication and is defined as a gap from the mitral or tricuspid annular area to the interatrial septum or left atrial wall. Because of its low incidence, this entity is not fully understood. LA dissection is related to mitral valve surgery as well as coronary artery disease, arrhythmia, trauma, tumor, and spontaneous occurrence. Transesophageal echocardiography is the most useful diagnostic modality for LA dissection, but multimodality investigation supports accurate diagnosis. There are two treatment options for LA dissection: surgical repair and close observation. Surgical repair involves entry closure and internal drainage. The indication for surgery should be based on the clinical presentation.
DOI 10.1007/s11748-015-0562-7
PMID 26003839